喘和怀孕:一个叙事审查
Siara Teelucksingh1, Andrea Davis2, Catherine Nelson-Piercy3
1Department of Acute and General Internal Medicine, Guy's and St. Thomas' NHS Foundation Trust, King's College London, London, England; South West London and Surrey Heartlands Maternal Medicine Network, England.
Chest
|September 27, 2025
概括
在怀孕期间优化喘护理至关重要. 目前的管理策略,包括生物药物,是安全有效的,改善了母亲和孩子的结果.
科学领域:
- 产科和妇科 产科和妇科
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在全球范围内,喘影响高达12%的孕妇,如果控制不良,可能会造成不良周产期结果的风险.
- 当代喘管理侧重于个性化,基于特征的方法和针对严重病例的生物标志物导向疗法.
- 与怀孕相关的生理变化通常不会使喘严重程度恶化.
研究的目的:
- 审查现代喘管理原则在怀孕中的适用性.
- 更新医疗保健提供者关于优化孕妇喘护理的基于证据的战略.
主要方法:
- 进行了证据审查.
- 在怀孕的背景下评估了喘管理的当代原则.
主要成果:
- 严重或控制不良的喘增加了孕前症,妊娠糖尿病,胎儿生长限制,早产和新生儿并发症的风险.
- 孕产妇的结果包括意外入院,生活质量下降和心理并发症.
- 大多数标准的喘治疗,包括生物药物,在怀孕和哺乳期间是安全的,促进坚持和改善健康结果.
结论:
- 医疗保健提供者应该对优化孕妇喘护理的基于证据的策略进行更新.
- 主动管理,个性化治疗和持续参与研究是必不可少的.
- 让患者对药物安全感感到放心,对于药物安全性和改善孕产妇和胎儿健康至关重要.
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